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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��1�' Sc�„��.� lq�zt <br />PROJECT ADDRESS <br />S -�( - \ I <br />L �l� �• �i � <br />/:S//C y'Sil� N�E ii� �1'�Ia�Gi'P ll'/l °/2���' c��l"1�)'/UO <br />EleCffiCal COniraClof Mail Addross City Stale/Zip Phone <br />Si1.N":EL-� �'i7�.DS <br />Stale License Nuinber <br />i�rf,��rc�,.lz, f �c�;, ; ,.� <br />W IRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�,?, cC� �--� <br />Contract Price of Work <br />I liereby cc�tify fhaf 1 have read and exarnined fhis applicafion and kno�v lhe same to be 6uo end <br />correcL All provisions o/laws and orziinances govemmg tfns fypo ol work mill be complefed <br />n�hether specified herein or noL Thc granfing ol a pennd does nof �resurne to give au(honty to <br />��iolafc or cance/!he r�rovisions o/ any cther state orlocal law regulating construction or the <br />pe�fonnance o/ construcfion. Thaf 1 am authorized by (he orvner ol this property fo peAomi fhe <br />work lor whicD applicafion is rnnde and 1 comply �vifh the Stafe Con(racfors Law 18.27 RCW and <br />296.200 4YAC. � <br />FEE <br />